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CT detection of occult pneumothorax in head trauma



CT detection of occult pneumothorax in head trauma



Ajr. American Journal of Roentgenology 143(5): 987-990



A prospective evaluation for occult pneumothorax was performed in 25 consecutive patients with serious head trauma by combining a limited chest CT examination with the emergency head CT examination. Of 21 pneumothoraces present in 15 patients, 11 (52%) were found only by chest CT and were not identified clinically or by supine chest radiograph. Because of pending therapeutic measures, chest tubes were placed in nine of the 11 occult pneumothoraces, regardless of the volume. Chest CT proved itself as the most sensitive method for detection of occult pneumothorax, permitting early chest tube placement to prevent transition to a tension pneumothorax during subsequent mechanical ventilation or emergency surgery under general anesthesia.

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Accession: 042429640

Download citation: RISBibTeXText

PMID: 6333171

DOI: 10.2214/ajr.143.5.987


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